SEAN R WEATHERSTON

CALDWELL, ID
NPI1073596136
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: ID  1523)
Enumeration Date2005-11-22
Last Update Date2007-12-04
Business Address
Mr. SEAN R WEATHERSTON P.T.
211 E LOGAN ST SUITE 101
CALDWELL, ID 83605-4835
Phone number: 208-454-9839
Mailing Address
Mr. SEAN R WEATHERSTON P.T.
2101 W GROUSE ST
NAMPA, ID 83651-8353
Phone number: 208-465-8087